Active NPI
Fatmeh Diab, M.D.
- Pediatrics Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME167748
- Practice address
- 6535 Nemours Pkwy
Orlando, FL 32827-7884 - Phone
- (407) 650-7000
- Fax
- (407) 567-5924
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101252400 | VA | |
| Pediatrics Physician | 208000000X | ME167748 | FL | Primary |
Addresses
Primary practice location
6535 Nemours Pkwy
Orlando, FL 32827-7884
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4100
Other practice location 1
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (940) 697-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME167748 | FL | MD | Pediatrics Physician |
| 0101252400 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Intensivist Services PC | Current | Accepting new patients |
Locations
411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713052800000",
"number": "1942437249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277884",
"telephone_number": "407-650-7000",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [
{
"address_1": "10140 Centurion Pkwy N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322560532",
"country_code": "US",
"telephone_number": "940-697-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAB",
"first_name": "FATMEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2024-04-14",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101252400",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME167748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.